Management of Acute Combination Fractures of the Atlas and Axis in Adults
Publication Date: March 1, 2013
RECOMMENDATIONS
The treatment of combination atlas-axis fractures based primarily on the specific characteristics of the axis fracture is recommended. (Level III, )
317039
External immobilization of most C1-C2 combination fractures is recommended. (Level III, )
317039
C1-type II odontoid combination fractures with an atlanto-dental ratio of ≥5 mm and C1-Hangman combination fractures with C2- C3 angulation of ≥11 should be considered for surgical stabilization and fusion. (Level III, )
317039
Recommendation Grading
Disclaimer
Overview
Title
Management of Acute Combination Fractures of the Atlas and Axis in Adults
Authoring Organization
Congress of Neurological Surgeons
Publication Month/Year
March 1, 2013
Document Type
Other
Country of Publication
US
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Diseases/Conditions (MeSH)
D001270 - Cervical Atlas
Keywords
Atlas, Axis, Cervical spine trauma, Fracture, Methodology, Practice guidelines
Source Citation
Neurosurgery 72:151–158, 2013 DOI: 10.1227/NEU.0b013e318276ee55